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HomeMy WebLinkAbout0335 HOLLIDGE HILL LANE - Health `3 3 54-Ho11i c1ge. Ii11 IJan.e -_ -- {MarstonS'M111S A = 081 -016' ., 1 �I TOWN OF BARNSTABLE LOCATION C-1-L i 6QC &L4SEWAGE# )Qt VILLAGE P44,tLz0 hqrP4/I¢ASSESSOR'S MAP&PARC'EL INSTALLER'S NAME&PHONE NO. , �1 c j;— '7`I[� � SEPTIC TANK CAPACITY 1000 4 I<f-- LEACHING FACILITY.(type)c-��`RfC-P�— (size) NO.OF BEDROOMS OWNER PERMIT DATE: -to-L3 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on e site or within 200 feet of leaching facility) '�Sr Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Ai 3Yb Al: � No. ac 13 s It Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in comp.ec PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLation for Disposal *pstrm 6ustruttiun 3dermIt Application for a Permit to Construct( ) Repair 0( Upgrade( ) Abandon( ); ❑Complete System ❑Individual Components Location Address or Lot No. 3,'S' 14 p i e Owner's Name,Address,and Tel.No. 5_0$- '190-8C.! Assessor's Map/Parcel 8� Mu' 1�4itts Mel- k, Installer's Name Address,and Tel No.3o3-f)'7/- 9399 Designer's Name,Address,and Tel:No.J09•-1 ;)- SS< c3arl�ot.44i �ot�s�cvc 'oY� S!s-ir-hal �2d ,c)a�n c?a, Ei�:n®�'�' 939140i;n SI - o Type of Building: Dwelling No.of Bedrooms 13 Lot Size sq.ft. Garbage!,rinder( ) Other Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) 3 ) gpd Design flow provided �ww • j gpd Plan Date e4 �)2�61')- Number of sheets I Revision Date Title`l f1P_S Si c "(C!M L- 3, &me ,0&me Size of Septic Tank 0_) 44 -%/acso Type of S.A.S. Q. WA 3a 14 Description of Soil Nature of Repairs or Alterations(Answer when applicable) VAUT S ett�ss�_l��tOlj YGs en a_ 9.R3' xl ���nh�� �Q 5v/�`�x, w�o��or� 5fvn� c�4 i.,�t7f-• C'��,nvt.6- d� r�r.i s47'�, '-�a�� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C and n o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed Date l 3 Application Approved by Date H O� ( Application Disapproved by Date for the following reasons Permit No. 0 Date Issued x Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARN'STABLE, MASSACHUSETTS a' k Nplitation for Misposal *pstem C011strUttion Permit _ t Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 3t�- 14 v ll i j e Owner's Name,Address,and Tel.No.So 8- '/P0--^21:o 97 Assessor's Map/Parcel 1 G l�letr5lS14 ({5 `,e-r 3M&r4rns Milk. gm Af�v//,cal /�f,// n ' Installer's Name,Address,and Tel.No.s08•017/• 9 399 Designer's Name,Address,and Tel.No. -1-0 5.34P•116V 8ut 4o(ci C.onS�cvr;f►cr� ySndusf�/?c( ,(?crcin G�a,�g-E.Jrilt�r 939/�kc:i,S{ a 0_V_. ttTrl,)6 V , Gat, S Type of Building: 2 Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ' )'�Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided �3Co • , gpd Plan Date Ajbi , `fit.�I(�1'a: Number of sheets // Revision //Date / Title 1 flp `` .s; p�6EsA,1 IL . _3� LJr)Zll' t Size of Septic;Tank CC)((`SS ; Type of S.A.S. Q,53 Lt)X 36 rL Description of Soil Nature of Repairs or Alterations(Answer when applicable) `77�s�r /`tai 'S ri�,(�fi an �� v &:D" l 6-� �'t�,..,1�()Y'� �l�ia(C �/-o Oc-, in 0— 9'/- : i, x ?i-1� L oiinl?�.L3.I OJc.d' �CJ/ri�u r.ti Jn� //�(i s�'U�'}2. L.A,t,Tr7 J k k C c k,1 06-;i �t !Q K/S�'t i•7n +CL to k Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in . accordance with the provisions of Title 5 of the Environmental Code-and to place the system in operation until a Certificate of -,,Compliance has been issued by this Board of Health. r Signed - Date tief 4 //,3 — 13 Application Approved by Date Application Disapproved by Date for the following reasons f 6 Permit No. a O Date Issued --------------------------------------------- TH ET COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that 1the On-site Sewage Disposal system Constructed( ) Repaired(A(� Upgraded( ) Abandoned( )by c- at 39S �4;,i in f5L,a m As ,has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Ncto��4al 3 r 11-5 dated C-f N ' Installer ,r ,(a 2t,StY2�L b41 ;.s�,c Designer DUA)n r ane�ei-�.n� LnC #bedrooms Approved design flow The issuance of this permit shall of be �nstrued as a guarantee that the system 1 cf o fas des'g (� Date Inspector 091 7 ! � / / V ,v V V v -------------------------------------------------------- ---------------------------------------------------------- No. 0(5t 3 — If-5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( . Upgrade( ) Abandon( J) System located at ' ( l IN r S loh-, M/l/5 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. , Provided:Construction must be completed within three years of the date of this permit. i 2 ed by Date (— 1 G r �s> Approv 33 t, •.� �� _ .; �tf 4�Z�'�'a j.,t � ijy•+'/ 4 � _.r;j3 S..'.y 1 .( a. '��4 t '•4.` �3' e h` J �J.*•.- ��,�, _ �s £rim+ � f� � .+A,> -Y�'e°q�s- .,,�,„ ��+ r �..�� �� �� .�y��_ ti a"`t"V'ai,"1' rt� ''��4��1��,`f-+ '�•5a, � � '4� .�^. f' y, .� _ _ f a � • y „y�.yY, t i... t� r ✓r r ra - �� 'raw:sa`�` � � �-,�+ #.,�•, a. ' �` a. '�3f �' { � ,.�.v #' � `Y` ♦ }�.z�' ..K35Y." ,ill. V1 721 EW -fir ' �' X +W .�F 8 Yp� i'> f''u .'#r� tya•.. .»` „+,L IUIIl4I O ' .�( .��- I c x` �P • � 'F V $ � -_ t "'+` 't4��av+�V•, � ,'tI'�-�`d4.y . g.. "'45 x� * ® 4 v 'f *� f t Y � � Y 01#ter 7 Af x MAY-07-2013 11:46 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/1 FROM :clown cape engineering 'i n c 'FAX Nd,, iSM3629MO May. 07 2013 11:50AM P1 070 f y 1'1c�aitnr�e t+'. �ori?;roK•�.��1Lw�,a:irwr k .uitN�AA'bLaS l'homaa X -�,ow, ,$Di>a -Ptor NO M't"Ja►Strw,Hvpfflnis,MAC lE7d I1 Q ,rof 508 W 6�4 f'Fx: 109 790-6304 A dail vss: On �� 3 ��cr. ,��,-,��,,u��„� wwu iss�trri n permit ts}in��fl11 n . xj �nneal9� . StT, is syst=ai N-W .(, W r I�Wed cm 11 JUs7ATa drawTi.by (addraas (��G51 ! 1 cm-b Fy &A ti- septic i7st.em referenced mhove. vv&,a imitalled s>.b9toilt1ttU7 aerorriing Ur tbr. rledp, which eery iw,u:huirf udaor Approved c harem mch as ]u tTo X00i"titiun Of the disiTibatio>a box fandhrr,,;Tbo 1='c I at°rti r flial. llbr yi p'tirf system x remcrrl n.hnve ww inti�laille wittl au jm rivaa ;r ;i U. Lf atpr than 10' lyhuhl,o0catiza tit'Tbnf IAB or any ve6cal Vi(ity mmponent aft r�servo Iiyslum)but Li arrolrlrl v wJL Stale r{r, , for„i.1 tte}a{Wa im;:. Man rt, wie or cPrta he11 as Hvii,per co (1a11r>'w, pAldi�l. A �' OJALAi ^'ia�lar':I ,:7tt7ta} CIVIL Na bG6fl� � e�i c�e'�ftip,nFitiLl�r) (A Fri A TDii,918U+r'9 StRMp.k.kMM) ffLRA !,' 1I t .70 y,AfilaRAi't k :UN df: t:U',_.11� T CH VdX, Kf1T BE LWQAQ. 1.144 XiVj I..J f 'i Q)jf,(!q( AND Town of Barnstable r# 3 RG' Departiment of Regulatory.Services R &M ..... r ]Public Health Division Date •rya h1 200 Main Street,Hyannis MA 02601 Date Scheduled {/ ,/ 1 Time 1� Fee Pd. 00' Soil SuitabiliO ,Assessment for Sew isposal y Performed By: ]LOCATION& GENERAL EVORMA,TIQN location Address (-, //j J e / / _ Owner's Name <J ' I /(�!J f! [ GLl I `+[ Address J Assessor's Map/Parcel: 001116 l Engineer's Name J OL-J V - e NEW CONSTRUCTIONS REPAIR /` Telephone Land Use:�LQ�[p�e�'(,/t,.� Slopes(%) Surface stoues •1/� Distances from: Open Water Body }Izo ( ft Possible Wet•Area prinking Water Well 6VU' Drainage Way ft Property Line —ft Other = ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands•In proximity to holes) to: , --� 40 z0 rj Parent material(geologic)O Depth to Groundwater. Standing Water in Hole, /&N-z'— Weeping from Pit Roe Estimated Seasonal High Groundwater . �—,/ {�Z Lez-ye j— DETERMINATION FOR SEASONAL Hl' WATERTA TABLE Method Used: GH Depth Observed standing in obs.hole: In. DaptJt ro still mottles: jtt, Dcpth to weeping from side of obs,hole: In. Groundwater Adjustment Index Well# Reading Date: Index Well level _ _ Adj.t'aetor.,,,,,•_,._.- Adj.Groutldwater level PERCOLATION T +'ST bate xlwa Observation Hole# , Time at 9" Depot of Pare Time at 6" Start Pre-soak Time @ —LJ t `�a Time(9"-6") End Presoak r 1/ Rate Min./Inch Sitc Suitability Assessment: Site Passed_� Sitr Falled: Additional Testing Needed(Y(N) Original: Public Health Division Observation Hole Data To Be Completed on Back--- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\S EPTi CV'ERCPORM.D O C i DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Shcl Color Soil• Otlrar it Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders. onaistenry,%'Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottlin g (Structure,Stones,Boulders. -Consistency.%gravel) ley co 4f;®t 3 Z M c S ,S y�► DEEP OBSERVATION HOLE LOG Hole#. Depth from Sol Horizon Soil Texture Soil Color Soil Other Surface(in.) e (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 4 L AV+ Q ]DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Sructura,Stones;Boulders. Corlsigtoncy, y Flood Insurance Rate Man: Above 500 year flood boundary No— Yes .v Wi thin 500 year boundary No Yes_' Within 100 year flood boundary No._ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious materiall Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the requited training,expertise and experience described in 110 CUR 15.017. Signature Cs' Datb Q:\S.HPTICIPHRCF0RM.D0C m CERTIFICATE OF ANA LYSIS Page. Srsk,` Barnstable County Health Laboratory Report Dated: 1/17/2006 Report Prepared For: Order No.: G0634278 Charles Sawyer 335 Hollidge Hill Lane Marstons Mills, MA 02648 Laboratory ID#: 0634278-01 Description: Water-Drinking Water Sample#: 34278 Sampling Location 335 Hollidge Hill Ln.Marstons Mills,MA Collected by: C.Sawyer Collected: 1/10/2006 Received: 1/10/2006 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen BRL g mg/L 0.10 10 EPA 300.0 1/10/2006 j LAB: Metals i Copper BRL mg/L 0.10 1.3 SM 3111B 1/13/2006 Iron BRL mg/L 0.10 0.3 SM 3111B 1/13/2006 Sodium 10 mg/L 1.0 20 SM 3111B 1/13/2006 LAB: Microbiology Total Coliform Absent P/A 0 0 309 1/10/2006 LAB: Physical Chemistry Conductance 80 umohs/cm 2.0 EPA 120.1 1/10/2006 P11 6.5 pH-units 0 EPA 150.1 1/10/2006 Water sample meets the recommended limits for drinking water of all the above tested parameters Approved By: (�Ctll) cm —� SP .- U'3 L3 C X try RL = Reporting Limit N M MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSIS io 9'` Page: 1 Il; M y; Barnstable County Health Laboratory Report Dated: 3/28/2005 Report Prepared For: Order No.: G0529513 Charles Sawyer 335 Hollidge Hill Lane Marstons Mills, MA 02648 Laboratory ID#. 0529513-01 Description: Water-Drinking Water Sample#: 29513 Sampling Location',335 Hollidge Hill Lane,Marstons Mills,MA Collected: 3/22/2005 Collected by: CS Received: 3/22/2005 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen BRL mg/L 0.1 10 EPA 300.0 3/23/2005 LAB: Metals Copper BRL mg/L 0.1 1.3 SM 3111B 3/23/2005 Iron BRL mg/L 0.1 0.3 SM 3111B 3/23/2005 Sodium 3.6 mg/L 1.0 20 SM 3111B 3/23/2005 LAB: Microbiology Total Coliform Absent P/A 0 Absent 309 3/22/2005 LAB: Physical Chemistry Conductance 180 umohs/cm 1 EPA 120.1 3/23/2005 PH 8.0 pH-units 0 EPA 150.1 - 3/23/2005 Water sample meets the recommended limits for drinking water for all above tested parameters. Approved By: u' ( Director) � �1�2 RL Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 !�p:g CERTIFICATE OF ANALYSIS u "7i Barnstable County Health Laboratory AUK j s 204z Report 'Prepared For: Report Dated: 08/07/2002 r0 HN 0f Order Number: G02 c rh oEPr Charles Sawyer 335 Hollidge Hill Lane Marstons Mills, MA 02648 Laboratory ID#: 0216482-01 Description: Water-Drinking Water Sample#: 16482 Sampling Location: 335 Hollidge Hill Ln Marstons Mills Collected: 08/02/2002 ollected by: C Sawyer / Received: 08/02/2002 Routine ITEM RESULT UNITS MDL MCL Method# Tested LAB: IC Lab Nitrates <0.1 mg/L 0.1 10 EPA 300.0 08/02/2002 LAB: Metals Copper <0.1 mg/L 0.1 1.3 SM 3111B 08/07/2002 Iron 0.2 mg/L 0.1 0.3 SM 3111B 08/07/2002 Sodium 4 mg/L 1.0 20 SM 3111B 08/07/2002 LAB: Microbiology Total Coliform Absent P/A 0 Absent P/A 08/02/2002 LAB: Physical Chemistry Conductance 196 umohs/cm 1 EPA 120.1 08/02/2002 PH 7.9 pH-units 0 EPA 150.1 08/02/2002 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Approved By: u — (Lab Director) ffl�/ZQ7 Z ' qs 1 i i Superior Court House, PO.Bog 427, Barnstable, MA 02630 Ph: 508-375-6605 LOCATION SEWAGE PERMIT NO. LoT QO 1-6 U..ID EE N t LL LdJ¢ 8 5 " 2l0 VILLAGE NIa.P.�,ra�! , I►�i t.(.S % INSTA Ci"ER'S NAME i ADDRESS e U I L D E It -OR OWNER MAesra N, IA t u.S s S , DATE PERMIT ISSUED 95 DATE COMPLIANCE ISSUED -z5-�35 2� t S' � �� e �� oy� ��� -to 'fir �'o f'c�3 0� S�✓/4R AfoF 1°�Ib-+t! THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........ ....... .................OF.......................................--------------------..........._..._.............:. Appliratiou for Disposal Works Toustrurtiuu amit Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System at •- .................... ............. . ...... Log ion-Address or Lot No. .... t ri.. :....`�. y e_._._::.Z _ ✓�� 0i2lu65 MW231�J 2PIL .S /174 6Z6 -- . ---•--•---------------•-•----........_.... ------....................------........ Owner Address •----- Installer Address q , jd Type of Building Size Lot-__ Sq. feet U Dwelling—No. of Bedrooms......-.�................... .....Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .------••---------•------------- . W Design Flow......... . .......................gallons per person per day. Total daily flow.._.........® .........................gallons. WSeptic Tank—Liquid capacity.AVP._gallons Length................ Width................ Diameter................ Depth......_......... x Disposal Trench—No. .................... Width.................... Total Length..._.......f....... Total leaching area....................sq. ft. Seepage Pit No......../---------- Diameter.................... Depth below inlet................ Total leaching area...�0....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by._P- v 4Y___e.:�:.._ AW.�'........... Date...$-AUk._.z�__.......... a Test Pit No. 1.2.__....minutes per inch Depth of.Test Pit____14..._...... Depth to ground water.N�?_..1 Test Pit No. 2_.4.2-......minutes per inch Depth of Test Pit.....14........ Depth to ground water-___(.._.._....`...... ----•------------------------------------------------------•---......-•-•-----------._....----•--•-•......................................................... 0 Description of Soil.....5L".3...F_.r.-.___.J,.QA44..Sv�3s6/L x . -----. v ........••--•--•---------------------- -'..- ..........C6a4 s -s ........---------...---------------- ----------------------------------- UW ------------ ----------•---•----------••------•---------------••---.....---------------•---•-•----•--•-•---•--••--••••••----------.....--•-•---------------•---------•--•---•.........-----•------ Nature of Repairs or Alterations—Answer when applicable............................................................................ --------•----------•-----------------------•----------•---••---•--••--•------------..........---•-••----•---------------------------•--------------------•--------•-•------•-----••-•.....------••------ Agreement: e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e rov ions f i TL j 5 of the State Sanitary Code— The undersigned further agrees not to place the system in o ati u tiff of Compliance has been issued by the board.pf health. Signed-,.__._-.---_- --- •-••-•--- •---.-•- -113/85---..------ Y D to p ication Approved By.... _ '-ax'a-- ---•--•-----------•--------•-•---•--- ......... �� ...r------•--- Date A plication Disapproved for the following reasons--------------------------------•------------------------------------------------•---••----...--•------••----•--. ..................•-.._..........-•-•--............--.--.----...-•---.....----------••--------------•......-----------------------------.---•-.--------------•--------•....-------... •------------- Date PermitNo......................................................... Issued----------•---••--------------.....--••-•••--•------- Date No '2 P ...,. "a. . . ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD' OF HEALTH ........................... -----------OF.................... ApplirFation for Disposal Works Tonstrurtion Kermit Application is hereby made for'a Permit to Construct �(") or Repair ( ) an Individual Sewage Disposal System at: ..>13 �. .......... .......... .........................d... .1(s. .. .. .......... ..... ..... _..._. ... ..... ....... ..... Location-Address or Lot No. Owner Address .................................................. .................................................................................................. Installer Address .L UType of Building Size Lot.... ...._..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .. -----•-----------------------•----•--•--------- -----•---------- -------------- DesignE .ems � ...-•---------•------ ---•- W Flow................1).0........P____---------gallons per person per day. Total daily flow..................J-:�o...............gallons. WSeptic Tank—Liquid*capacity._I.(t2..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench-No..................... Width.................... Total Length.................... Total"leaching area....................sq. ft. Seepage Pit No.--_--- ______- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.� � Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date............................ •----------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------------------- •-------------- ............ .. --------------- 0 Description of Soil................................................................................................................................................................................ W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...........................4k6•••....-----•-••••-=---•••----•-------•----•••---•---••------------------••-•----------••--•••-------------••-••-----•-•---•-•---••••••••..........-----•-•••-•......----• Agreement e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e rov ions If TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in o ati n rtifi of Compliance has been issued by the board f health':' Signed..... 1...-- t ..I........................... 06 ^� r� B ication A roved �! n �� __. ..z24/.. .......... Date plieation Disapproved for the following reasons--------------------------------------•---•--•-----------------------------------•----------------------••------- ......----•-.........-•----•-•--------------•---••---------...---------•--------.....---....--------••---••....--•----------•-••-••-------•----•-...-•-•-------•---� ---••-------•--- -----••------- Date i PermitNo....................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...... .............. ........................................... Tntif iratr of Ton'tpliFanre THg IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by C _ Installer has been installed in ccordance`with the prop ons of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------ . . dated__--- ._ _._ .,----------------------------- ca" 2•t,.t�-j-----•--- 1. -, THE ISSUANCE OF THIS CERTIFICATE SHALL NO BE CONSTRUED AS A GBl"ARA'�'EE THAT THE SYSTEM WILL F NCTI N SATISFACTORY. � DATE....•••-----72-- �>�`�. ..................................... Inspector........ —--------------•--- THE COMMONWEALTH OF MASSACHUSETTS f T BOARD OF ALTH ................./"1��{"r:'.�........OF............ .. . ....-----_:��'.r�:..........:: Fu.....5"� Disposal Works Tons#rttr#ion "Permit Permissionis hereby granted % r -----------------•---------•----•-------------------------•••.-.--------••-----.....------..... ...._.......--_----- to Constr ct ( y) orlRepair ( ) an Individual Sewage Disposal System • ----- , at No. �,. 1 �_ ; � 1 : � ,. �•t3=}- .._ -•,Y; ..;,--....:'.y "�.7.fi;;onstruction ' Kra-^- �--Street-•�•------•-^-•------•--------------•----•----•-----•------•--•.__=-.._..^_ as shown on the application for Disposal Works Permit Nor F _. Dated.... ;.__ . `Board'of FIealih DATE.......... / -•-----•••---•---•-----•-------------•-••..--..... . FORM 1255 A. M. SULKIN, INC.. BOSTON . - LEGEND SYSTEM DESIGN SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR " .NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1 DATUM IS APPROX. NGVD PROVIDE MIN. 20 DIAM. WATERTIGHT ( � 99- EXISTING CONTOUR NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE (GARBAGE DISPOSER IS ) 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS NOT AVAILABLE 'f'o X 99.1 EXIST. SPOT ELEV. \ FILTER FABRIC OVER STONE p `� 99 PROPOSED CONTOUR DESIGN FLOW: - BEDROOMS ( 110 GPD) = 330 GPD MINIMUM .75' OF COVER OVER PRECAST 290 SLOPE REQUIRED OVER SYSTEM 61.0' - 62.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. �90�� O o�P 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS USE A 330 GPD DESIGN FLOW PRECAST H-10 PROP. TEE BLOCKS OR TO BE AASHO H-� 198.41 PROPOSED SPOT EL. �` RISERS (rrP.) PRECAST RISERS 2'0 A75 "OSCH40 PVC TH1 SEPTIC TANK: 330 GPD ( 2 ) = 660 IPES LEVEL 1ST 2' 2 COMPONENTS H-10 5. PIPE JOINTS TO BE MADE WATERTIGHT. Mystic Loke i� (TYP.) INV'S EL. 55.0'TEST HOLE ;� ENDS �-12 DES 56.0' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH YYY RE-USE EXISTING SEPTIC TANK** :• 10" 14" a no vo vo vo Yv° 2� SLOPE OF GROUND LEACHING: TEE TEE °o 0 0 0 om 310 CMR 15.000 (TITLE 5.) a EXISTING � ... -. .... :. •• ... ... o 0 0 0 _ 58.45f o ®®®® ®®®® ®®®® ®®® o 0 117.9 SEPTIC TANK" a > o°oo 0000 o00 0 0 02 30 + 9.83 2 74 - GAR. SLAB AT 0 6 M'N SUMP O ;00000000 00000000SIDES: ( ) (' ) ®®®®®®®®®®® ®®®®® 7. THIS PLAN IS"FOR PROPOSED WORK ONLY AND NOT TOUTILITY POLE GAS BAFFLE :.: � 12" MIN DIM. N > 000g000 ®®®®®®®®®®® ®�®®®®®®®®®EL. 61.6' 58.7 0 0 0 o BE USED "FOR LOT LINE STAKING OR ANY OTHER FIRE HYDRANTBOTTOM: 30 x 9.83 (.74) = 218.2 55. 5.10' ° ' o°o°oo°o . °oo°o°°o, 53.0 ° ° ° °, PURPOSE. o fiddle Pon Locus NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 454 336.1 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. TOTAL: S.F. GPD 3/4"-1-1/2" DOUBLE WASHED STONE X' MIN. H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. USE (3) H-20 500 GAL. LEACHING CHAMBERS (ACME OR ALL AROUND PRECAST STRUCTURES (3) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30, X 9.83, WITHOUT INSPECTION BY BOARD OF HEALTH AND EQUAL) WITH 2.25 STONE AT ENDS AND 2.5 'AT SIDES COMPACTION. (15.221 [2]) PERMISSION OBTAINED FROM BOARD OF HEALTH. *THE INSTALLER SHALL VERIFY THE 0)LOCATIONS OF ALL UTILITIES AND ALL 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING SEWER OUTLETS AND ( 12% SLOPE) ( 1 SLOPE) DIGSAFE (1-888-344-7233) AND VERIFYING THE ELEVATIONS PRIOR TO INSTALLING ANY LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES FOUNDATION EXIST. SEPTIC TANK 27' D' BOX � 1� LEACHING PRIOR TO COMMENCEMENT OF WORK. LOCUS MAP PORTION OF SEPTIC SYSTEM FACILITY HAMBLIN POND WATER EL. 4 ' t 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE NOT TO SCALE MA REMOVED 5' BENEATH AND AROUND THE PROPOSED APPROVED DATE BOARD OF HEALTH **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT LEACHING FACILITY. ASSESSORS MAP 81 PARCEL 16 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. CONDITIONS IF NOT SUITABLE 13. NO KNOWN POTABLE WELLS WITHIN 150' OF PROP. SAS NOTE: ENGINEER IS TO INSPECT SUITABLE SOILS FOR MIIN. OF 1 \ 4' BENEATH LEACHING FACILITY PRIOR TO INSTALLING A,NY PORTION OF SYSTEM OG TEST HOLE LOGS Fy 11 \ �'`` LiQ ENGINEER: ARNE H. OJALA, PE, SE EXIST. WELL N I / WITNESS: DON DESMARAIS, IRS I 66.79 = _ DATE: NOVEMBER 29, 2012 R ' 27p 00 , 164. pp . PERC. RATE _ < 2 MIN/INCH o I CLASS I SOILS P# 13802 ,S0. ' /O I 1so• ELEV. z ELEV. I >z oft / o I FILL FILL / I EXIST. WELL 1 optlO BENCH MARK - CTR OF O AREA DRAIN. ELEV. = 61.5 GAR SLAB ELEV. 61.6' A/B A/B / DRAIN IS ABOVE INVERT ELEV. /SL /SL / 62.85 / 7o 1� 18» 10YR 4/2 18" 10YR 4/2 / 1 3 - E..�.T•NG DWEELLING -- _ _ - _ _ BW / 1a ti .••�• x 8.37 1 71 aW� / 62 1 \ SL/ SL ' APPROXIMATE LOCATION OF / i ^� �i �/ PRIVATE ELECTRIC SERVICE (REQUIRES O �49.. .21 co 36" 10YR 5/6 30" 10YR 5/6 PRIVATE MARK-OUT) � .40 1 � / o \ /C1 /C1 05 x�98 Si LOAM Si LOAM P 1. VENT WITH CHARCOAL FILTER x 9 co 8" HOLLY 1 68g75 1 OYR 7 / / / AND BUGSCREEN (FINAL PLACEMENT BY o, 6, 0) \ / 10YR 7/1 / CONTRACTOR WITH HOMEOWNER �' 4.7 6> \ 72" 56.2' 48" 57.8' / CONSULTATION) / •• �' \ PERC � 6 . 7 65 6 420 MCS MCS cc x 61.40 62 6s 135 2.5Y 6/4 1 2.5Y 6/4 ��/ 's/.• 6� 6� 6�\ 'x 65.29 50.9 32 50.8' `` •• NO GROUNDWATER ENCOUNTERED � s 1.58 / 60 ell 6� s10 .28 • #145.43 / / 6 .07 •7910 :/.• % TITLE� x •- 5 SITE: PLAN sR % x 6.80 9. �2 6.0� • / oo. OF W x 59. 335 HOLLIDGE HILL LANE '45.72 • 3 MARSTONS . MILLS VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE x 52.5 �C0 �-��O IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR BY HEALTH INSPECTOR '45.81 #4 PREPARED FOR PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED s" BY THE BOARD OF HEALTH REVISED DURING A PUBLIC BORTOLOTTI CONSTRUCTION/ HEARING HELD ON AUG. 4, 2009 45 89 HAMBLIN POND �5 3) FAILED SYSTEMS ONLY : SOIL ABSORPTION SYSTEM x 3 WATER ELEVATION = 44' C. SAWYER INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW N GRADE WITH PROPER VENTING (PIPED TO THE ATMOSPHERE) AND WITH H-20 LOADING, BUT IN NO CASE SHALL THE SAS NOVEMBER 30, 2012 BE LOCATED MORE THAN SIX FEET BELOW GRADE. 45.77 Scale: 1"= 20' 0 10 20 30 40 50 FEET #7�46.25 N OF Mq soy SN OF ugsSq off. 508-362-4541 s q ' fax 508-362-9880 DANIEALA. DANIEL cy�Nr I P OJALA A. downca e.com �, CIVIL OJALA N dOW47 COpe of hitperiag ift. 02 No.40380 STSYL�,� FSS o� civil engineers AL�� UR /ti land surveyors 939 Main Street ( R to 6A) DATE DANIEL A. OJALA, P.E., P.L.S. 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